MEDICARE: TARGET CORPORATION AND SUBSIDIARIES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies
2	333600000X	Pharmacy
3	3336C0003X	Community/Retail Pharmacy	PH1476	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2051383	OTHER		PK
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1396767992
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TARGET CORPORATION AND SUBSIDIARIES

Provider Business Mailing Address
First Line	:	1000 NICOLLET MALL # 1795
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55403-2542
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2189 W CRAIG RD
Second Line	:
City	:	N LAS VEGAS
State	:	NV
Zip	:	89032-3019
Country	:	US
Telephone Number	:	702-648-1153
Fax Number	:	702-648-1153

Authorized Official
Title or Position	:	HEALTHCARE ENROLLMENT SPECIALIST
Name	:	ROBYN STORTROEN
Credential	:
Telephone Number	:	612-696-8311

Provider Enumeration Date	:	07/24/2006
Last Update Date	:	03/21/2014

Similar Medicare Providers

1447337068 — STEPHANIE GANSCHOW PHARMD
Practice Location Address:

2500 E 52ND ST N , CIGNA MEDICARE SERVICES
SIOUX FALLS, SD
57104-7106

Practice Phone: 605-373-0100
Practice Fax:

1407140577 — DR. JOSHUA S STANLEY PHARM D
Practice Location Address:

2189 W CRAIG RD , T-1243
NORTH LAS VEGAS, NV
89032-3019

Practice Phone: 702-648-1153
Practice Fax: 702-648-1153

1801182118 — HANG TRUONG
Practice Location Address:

2189 W. CRAIG ROAD
NORTH LAS VEGAS, NV
89032-3019

Practice Phone: 702-648-1153
Practice Fax:

1063362945 — MAUREEN DRAKE LMT
Practice Location Address:

770 W LONE MOUNTAIN RD APT 2040 , 2040
NORTH LAS VEGAS, NV
89031-3019

Practice Phone: 410-493-7930
Practice Fax:

1285805572 — MRS. RHONDA DUNCOMBE LMFT
Practice Location Address:

3595 S TOWN CENTER DR , SUITE 116
LAS VEGAS, NV
89135-3019

Practice Phone: 702-290-0787
Practice Fax: 702-479-7285

1811228760 — DR. JUAN GARCIA PH.D.
Practice Location Address:

3595 S TOWN CENTER DR , SUITE 116
LAS VEGAS, NV
89135-3019

Practice Phone: 702-291-8364
Practice Fax: 702-446-6787

Directions to “TARGET CORPORATION AND SUBSIDIARIES ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.